Sites:Face, trunk, scalp. For many years, a 57-year-old white man had noted asymptomatic papular waxy lesions of the face, trunk, and scalp (Fig 1 and 2). In December 1965 a skin lesion of the right subscapular region became inflamed. This was excised and reported as an epidermoid carcinoma arising from a sebaceous cyst. Since 1965 over 100 skin lesions have been treated cryosurgically. Biopsies of representative lesions have been reported variously as "sebaceous adenoma," "sebaceous carcinoma," and "basal cell epitheliomata with sebaceous differentiation." Past history reveals a primary carcinoma of the ampulla of vater excised in 1960, and a primary carcinoma of the colon resected in 1963.

DiscussionDr. George C. Andrews: I was trying to classify this case as Gardner's syndrome, but I do not really think it fits into that diagnosis. There are multiple sebaceous cysts or adenomas and